자료유형  

 학위논문

Control Number  

0016933354

International Standard Book Number  

9798379706975

Dewey Decimal Classification Number  

610.73

Main Entry-Personal Name  

Betancourt, Sonia Ildelisa.

Publication, Distribution, etc. (Imprint  

[S.l.] : University of California, Los Angeles., 2023

Publication, Distribution, etc. (Imprint  

Ann Arbor : ProQuest Dissertations & Theses, 2023

Physical Description  

1 online resource(66 p.)

General Note  

Source: Dissertations Abstracts International, Volume: 84-12, Section: B.

General Note  

Advisor: Carpenter, Catherine.

Dissertation Note  

Thesis (D.N.P.)--University of California, Los Angeles, 2023.

Restrictions on Access Note  

This item must not be sold to any third party vendors.

Summary, Etc.  

요약Background: Prediabetes places individuals at higher risk of developing type 2 diabetes (T2DM), cardiovascular disease, and stroke. One-third of US adults have prediabetes. Nationwide, there have been missed opportunities where eligible patients were not screened, diagnosed, or treated for prediabetes. The Diabetes Prevention Program (DPP) is a highly effective intervention for diabetes prevention, yet attendance at DPP is often incomplete. This dissertation builds on DPP with an intervention that promotes prediabetes awareness through telephone outreach and encourages DPP attendance, called DODGE© Diabetes (DODGE©-Drink water- avoid sugary drinks; Optimize sleep; Daily mindfulness; Get active: 150 minutes per week; and Enjoy more fruits and vegetables). DODGE© compliments the existing DPP through group classes on prediabetes, weekly text reminders, and monthly one-on-one coaching. Objectives: DODGE© aims to increase awareness in adults with prediabetes (hemoglobin A1C between 5.7% to 6.4%) and promote attendance at DPP. Methods: In a clinic in California, adults with a body mass index (BMI) greater than 25 kg/m2 and prediabetes were outreached through a telephone call and invited to DODGE©. Fourteen adults participated in DODGE©. The intervention included getting additional information about prediabetes, attending the existing 16 weekly DPP, receiving weekly reminders to attend the DPP, and monthly one-on-one calls. DODGE© implemented the Transtheoretical Model (TTM) by promoting lifestyle behavior change to participants and evaluating the five stages of change experienced by the DODGE© participants. A quasi-experimental design with pre-and post-measurement was collected to compare DODGE© and non-DODGE© DPP participants. Descriptive statistics characterized variable distributions; t-tests and Chi-Square were used to evaluate group differences. Results: On average, the fourteen DODGE© participants attended 80 % of the weekly Healthy Balance (DPP) classes compared to non- DODGE© of 55% (p-value= 0.02). Participants reported that text messages were helpful reminders to attend the DPP classes. Thirteen DODGE© participants progressed in the TTM from the contemplation to the action phases, and one continued in the maintenance phase. Conclusion: Telephone outreach and additional education increased prediabetes awareness. The prediabetes education group classes, weekly text reminders, and monthly calls promoted DPP attendance and adherence.

Subject Added Entry-Topical Term  

Nursing.

Subject Added Entry-Topical Term  

Physical therapy.

Subject Added Entry-Topical Term  

Nutrition.

Index Term-Uncontrolled  

Diabetes

Index Term-Uncontrolled  

Diabetes Prevention Programs

Index Term-Uncontrolled  

Lifestyle changes

Index Term-Uncontrolled  

Obesity

Index Term-Uncontrolled  

Prediabetes

Index Term-Uncontrolled  

Weight loss

Added Entry-Corporate Name  

University of California, Los Angeles Doctor of Nursing Practice 00DL

Host Item Entry  

Dissertations Abstracts International. 84-12B.

Host Item Entry  

Dissertation Abstract International

Electronic Location and Access  

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Control Number  

joongbu:639688